2015-11-13T15:52:51-06:00 2014-12-31 990 2014-01-01 141338586 VASSAR BROTHERS MEDICAL CENTER % KATHERINE BACHER VP FIN OPS VASS 8454759500 45 READE PLACE POUGHKEEPSIE NY 12601 GARY ZMRHAL SVP/CFO 8454759500 2015-11-13 2014 2016-04-25 22:37:26Z ROBERT FRIEDBERG PRESIDENT 45 READE PLACE POUGHKEEPSIE NY 12601 486284824 false X www.health-quest.org X 1882 NY TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE - SEE SCHEDULE O FOR MORE INFORMATION 17 16 2164 390 99266 -70942 2288411 1660773 415447420 467899424 5464792 6191543 12553770 10533084 435754393 486284824 64890 87120 0 0 166046539 170953267 0 0 0 245801967 265952024 411913396 436992411 23840997 49292413 482877735 511979428 252542896 261760840 230334839 250218588 X TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE -- SEE SCHEDULE O FOR MORE INFORMATION false false 213919734 291309178 INPATIENT SERVICES: PATIENTS ADMITTED FOR ACUTE CARE - NUMBER OF PATIENTS 20,235; NUMBER OF PATIENT DAYS 96,052 THE HOSPITAL PROVIDED APPROXIMATELY $3,236,286 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 128035607 87120 174354871 OUTPATIENT SERVICES: EMERGENCY VISITS 56,008; OTHER OUTPATIENT VISITS/PROCEDURES 281,589 THE HOSPITAL PROVIDED APPROXIMATELY $6,466,939 IN UNCOMPENSATED CARE (AT COST) TO THE REGIONS UN-INSURED AND UNDER-INSURED POPULATION. 1641523 2235375 AFFILIATE RENTAL INCOME 343596864 true true false true false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false true true false false false true 0 0 2164 true true true false false false false false false false false false false false false X 17 16 false false false false true true true true true false true true true true true true true true true true true true NY X KATHERINE BACHER VP FIN OPS 8454759500 1351 ROUTE 55 SUITE 200 LAGRANGEVILLE NY 12540 SUNIL KHURANA MD TRUSTEE 1.0 0.0 X 0 0 0 DAVID CONKLIN TRUSTEE 1.0 0.0 X 0 0 0 CARLA GUDE CHAIRMAN 1.0 0.0 X 0 0 0 CARL MEYER TRUSTEE 1.0 0.0 X 0 0 0 BARRY ROTHFELD SECOND VICE CHAIR 1.0 0.0 X 0 0 0 RICHARD CHAZEN PE LIFE TRUSTEE 1.0 0.0 X 0 0 0 ETHELYN MUND LIFE TRUSTEE 1.0 0.0 X 0 0 0 JOHN O'SHEA LIFE TRUSTEE 1.0 0.0 X 0 0 0 FRANK WISE LIFE TRUSTEE 1.0 0.0 X 0 0 0 BERNARD HANDEL LIFE TRUSTEE 1.0 0.0 X 0 0 0 DAVID WEINREICH IMM PAST MED/DENTAL STAFF PRES 1.0 0.0 X 0 0 0 ROBERT CHAMBERS TRUSTEE EMERITUS 1.0 0.0 X 0 0 0 FRANCOISE DUNEFSKY FIRST VICE CHAIRMAN 1.0 0.0 X 0 0 0 AMELIA MARTINKO MD TRUSTEE 1.0 0.0 X 0 0 0 CARL NEEDY TRUSTEE EMERITUS 1.0 0.0 X 0 0 0 CHARLES SHANOK TRUSTEE 1.0 0.0 X 0 0 0 RICHARD STRAIN TRUSTEE EMERITUS 1.0 0.0 X 0 0 0 RICHARD FRIEDLAND MEDICAL STAFF PRESIDENT 1.0 0.0 X 0 0 0 JULIA GOINGS-PERROT ESQ TRUSTEE 1.0 0.0 X 0 0 0 JOHN REID TRUSTEE 1.0 0.0 X 0 0 0 JOHN L MCGUINNESS HQ CEO 1.0 40.0 X X 0 1422455 19503 ROBERT FRIEDBERG VBMC PRESIDENT 1.0 40.0 X X 0 786636 26885 EDWARD FARHANGI MD MED STAFF PRESIDENT 1.0 0.0 X 0 0 0 KATHERINE BACHER ASST. TREASURER 1.0 40.0 X 0 294502 16923 ANN MCMACKIN VBMC COO 40.0 0.0 X 302573 0 0 KEVIN BOLAND DIRECTOR CARDIO PERFUSION 40.0 0.0 X 251456 0 39841 KATHLEEN MANTARO DIR UTILIZATION MGMT 40.0 0.0 X 254218 0 23783 DOUGLAS HART PERFUSIONIST 40.0 0.0 X 199411 0 35762 SUSAN AMOS AVP OF MATERNAL CHILD HEALTH 40.0 0.0 X 193572 0 31780 CLAUDINE FASSE AVP OPERATIONS/PROJ MGMT 40.0 0.0 X 291740 0 893 DANIEL ARONZON MD FORMER CEO/PRESIDENT 0.0 0.0 X 0 193562 0 JANET READY FORMER PRESIDENT 1.0 0.0 X 0 484148 41406 MICHAEL T WEBER FORMER CEO 0.0 0.0 X 0 817449 0 MARYANN KEPPLE FORMER TREASURER 0.0 0.0 X 0 779221 17076 FREDERICK THOMAS FORMER CORPORATE SECRETARY 0.0 0.0 X 0 104511 0 1492970 4882484 253852 6 true true false 0 1660773 1660773 INPATIENT SERVICE REVENUE 900099 291309178 291309178 OUTPATIENT SERVICE REVENUE 900099 174354871 174354871 AFFILIATE RENTAL INCOME 900099 2235375 2235375 467899424 5815133 5815133 0 0 2399198 2399198 0 2399198 2399198 376410 376410 0 0 0 CAFETERIA AND DELI SALES 900099 1571871 1571871 MEANINGFUL USE REVENUE 900099 2976401 2976401 MANAGEMENT FEES 518210 685327 685327 2900287 2801021 99266 8133886 486284824 475934044 99266 8590741 87120 87120 0 0 0 0 0 302573 242058 60515 0 124592759 115740880 8851879 10788326 10018748 769578 25707580 23873115 1834465 9562029 8879693 682336 0 3050 3050 0 286 286 0 0 2104435 1410620 693815 2769 2769 10178102 6644490 3533612 435027 390820 44207 0 5523228 3348709 2174519 323379 51542 271837 0 193397 81933 111464 5264117 3354516 1909601 0 26519418 16619510 9899908 3986094 2537445 1448649 PURCHASED SERVICES 90859697 35302909 55556788 MEDICAL SUPPLIES 60271754 60271754 PHYSICIAN FEES 26653220 26653220 BAD DEBT 18591052 18591052 15042999 9493961 5549038 436992411 343596864 93395547 0 2514608 8798155 3815566 15446263 0 0 49620354 49685727 0 0 0 0 0 0 6459039 6208503 3452769 4952232 524109389 302120341 222990055 221989048 133614075 142104669 0 0 0 0 0 0 60411269 62794831 482877735 511979428 31402659 39119037 0 0 0 0 76945512 72390476 0 0 0 0 26741610 41269310 0 0 117453115 108982017 252542896 261760840 X 215736890 236701186 12406998 11326451 2190951 2190951 230334839 250218588 482877735 511979428 X 49292413 2411391 -31820055 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 286 286 false SCHEDULE C PART II-B LINE 1I - LOBBYING EXPENDITURES A PORTION OF THE HEALTHCARE EDUCATION PROJECT, PAID BY VASSAR BROTHERS MEDICAL CENTER, WAS USED FOR LOBBYING EXPENDITURES ON BEHALF OF THE HOSPITAL INDUSTRY. 2190951 2190951 2190951 2190951 2190631 320 2190951 2190951 320 2190631 2191000 2191000 1.00000 false false 5829574 5829574 259083975 95003838 164080137 248968202 205611990 43356212 10227638 1504513 8723125 221989048 DUE FROM AFFILIATES 10148432 RETIREMENT INVESTMENTS 1834404 IDA 2005 DEFFERED FINANCING 335665 2007A DEFFERED FINANCING 371720 2007B DEFFERED FINANCING 16083 INVESTMENT IN FACS LLC 20000 UROC SECURITY DEPOSIT 49500 INTEREST IN FOUNDATION 8633737 2007 SERIES A BOND PREMIUM 541190 2007 SERIES B BOND PREMIUM 260326 DSRF TELP LOAN TDBANK GENERAL 352703 DSRF 2007 SERIES A BONDS 1083995 DSRF 2007 SERIES B BONDS 994100 DSRF 2005 BONDS 1313188 DEF FINANCING 2010 SERIES A 654573 DEF FINANCING 2010 SERIES B 160448 MISC RECEIVABLES 768870 2010 BOND INTEREST FD GENERAL 2920290 DEF FIN 2011 FIXED RATE CONVER 142874 DUE FROM HQ LT 23046453 DUE FROM THIRD PARTIES 6474094 DSRF 2012 PROJECT FUND 8907 DSRF HQ SER 1997 1525 DEF FINANCING 2012 BONDS 391782 DSRF 2012 INTEREST 887591 POST RETIREMENT 449690 DSRF 2014 1 COLUMBIA ST FUND 301921 DSRF 2014 INTEREST 436111 DEF FIN 2014 BONDS SER B 194659 62794831 0 POST RETIREMENT BENEFITS 51668581 RETIREMENT INVESTMENTS 1826339 3RD PARTY RATE ADJMTS PAYABLE 4296732 MARY TOWER BUILDING 72914 DUE TO AFFILIATES 6909373 ENVIRONMENTAL CONTIN LIAB (FIN 1668681 GENERAL RESERVE 18125006 DUE TO HQ L/T 2107014 MED MALPRACTICE INSURANCE LIAB 22307377 108982017 SCHEDULE D PART V LINE 4 - ENDOWMENT FUNDS THE ORIGINAL CONTRIBUTION IS BEING HELD FOR THE BENEFIT OF THE HOSPITAL. true true X true X true X false true false false 11404068 6059100 5344968 0.01280 61814250 49074220 12740030 0.03040 73218318 55133320 18084998 0.04320 10 2060 9966 5830 4136 1 750000 750000 0.00180 1 83160 83160 0.00020 12 2060 843126 5830 837296 0.00200 12 2060 74061444 55139150 18922294 0.04520 true 18591052 150974971 190731514 -39756543 X true true ULSTER RADIATION ONC RADIATION ONCOLOGY 0.50000 1 1 VASSAR BROTHERS MEDICAL CENTER 45 READE PLACE POUGHKEEPSIE NY 12601 WWW.HEALTHQUEST.ORG 1302001H X X X VASSAR BROTHERS MEDICAL CENTER 1 false false true X X X X X X X X 13 true true true true X WWW.HEALTHQUEST.ORG X X true 14 true WWW.HEALTHQUEST.ORG false false true X 200. 300. true true X true X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 Vassar Brother Medical Center was part of the Integrated Community Assessment Workgroup (ICA) which consists of individuals from Dutchess County Department of Health, Dutchess County Community and Family Services, Dutchess County Department of Mental Hygiene, Dutchess County Department of Probation, Dutchess County Department of Planning & Development, Dutchess County Office for the Aging and Dutchess Country Veterans Services, as well as the Mental Health Association, the Dyson Foundation, the Foundation for Community Health, Health Quest and the Mid-Hudson Regional Medical Center (formerly St. Francis Hospital). PART V, SECTION B, LINE 6A The VBMC CHNA was conducted in conjunction with Northern Dutchess Hospital and Mid-Hudson Regional Medical Center (formerly St. Francis Hospital). PART V, SECTION B, LINE 6B Vassar Brother Medical Center was part of the Integrated Community Assessment Workgroup (ICA) which consists of individuals from Ducthess County Department of Health, Dutchess County Community and Family Services, Dutchess County Department of Mental Hygiene, Dutchess County Department of Probation, Dutchess County Department of Planning & Development, Dutchess County Office for the Aging and Dutchess Country Veterans Services, as well as the Mental Health Association, the Dyson Foundation, the Foundation for Community Health, Health Quest and the Mid-Hudson Regional Medical Center (formerly St. Francis Hospital). PART V, SECTION B, LINE 11 Dutchess County identified four priority areas: 1) reduce childhood obesity, 2) increase access to preventative healthcare and improve management of chronic disease, 3) reduce tick and insect-related disease and 4) reduce substance abuse. VBMC elected to focus on chronic disease and tick and insect-related diseases. Obesity was identified as a lower priority, however we were engaging the community through our diabetes self-management program and hope to develop a formal program at a later date. Substance abuse was not a priority at the time because the Mid-Hudson Regional Medical Center (formerly Saint Francis Hospital) had licensed substance abuse beds. Chronic Disease - In a partnership with Hudson River Health Care, VBMC offered 6-week self-management classes for diabetes. VBMC was working to bring this training in-house to staff to allow for more classes. They had been limited to the availability of HRHC to offer classes in the past and would like to offer moving forward. (3 people have been trained in 2015). Two Diabetes Community Education Days were conducted in 2014 in partnership with the Dutchess County DOH. Tick and insect-related disease - A joint educational event for physicians with the DOH and posters and handouts were distributed for patients. Our Health Quest Medical Practice offices provided additional educational materials to the community as part of VBMC's Tick Initiatives. Significant work was done in 2015 and next year's report will reflect that progress. PART V, SECTION B, LINE 7D The CHNA was also printed and distributed throughout the hospital, including the main lobby, patient waiting areas and hospital administration. PART I, LINE 6A VASSAR BROTHERS MEDICAL CENTER PREPARED A COMMUNITY SERVICE PLAN IN 2013, AND INITIATED THE IMPLEMENTATION STRATEGIES IN 2014, AND WILL CONTINUE INTO 2015 AND 2016. PART I, LINE 7, COLUMN F TOTAL BAD DEBT EXPENSE = $18,591,052 PART I, LINE 7 THE COST TO CHARGE RATIO PERCENTAGE, BASED ON THE MEDICARE COST REPORT, WAS USED AS THE COSTING METHODOLOGY IN DETERMINING THE AMOUNTS REPORTED. PART III, SECTION A, LINE 2, 3 AND 4 LINE 2 - VBMC FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. PATIENT ACCOUNT BALANCES WERE ONLY CONSIDERED FOR BAD DEBT AFTER APPLYING ALL CONTRACTUAL DISCOUNTS AND PAYMENTS, AND SCREENING FOR CHARITY ELIGIBILITY. LINE 3 - VBMC DOES RECOGNIZE THAT THERE WAS SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WERE ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY. WE DID NOT HAVE A REASONABLE BASIS FOR ESTIMATING THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. PATIENTS WHO WERE ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY WERE ACCOUNTED FOR UNDER CHARITY CARE RATHER THAN BAD DEBT. LINE 4 - FOOTNOTE ON AUDITED FINANCIALS - THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 14 OF THE HEALTH QUEST SYSTEMS CONSOLIDATED AUDITED FINANCIAL STATEMENTS. FEDERAL AND STATE LAW REQUIRES THE HOSPITALS TO PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INCLUDING PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE INFORMATION NECESSARY TO ALLOW THE COMPANY TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. UNCOLLECTIBLE AMOUNTS DUE FROM SUCH UNINSURED PATIENTS REPRESENT THE SUBSTANTIAL PORTION OF THE PROVISION FOR BAD DEBTS REFLECTED IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. PART III, SECTION B, LINE 8 THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF THE COMPANY'S COSTS FOR THE PATIENTS IN THE COMMUNITY. THE COSTING METHODOLOGY USED TO CALCULATE THE SHORTFALL WAS THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT. PART III, SECTION C, LINE 9B BEFORE A DELINQUENT ACCOUNT WAS REFERRED TO A COLLECTION AGENCY, THE ACCOUNT WAS REVIEWED TO DETERMINE WHETHER THE PATIENT QUALIFIED FOR CHARITY CARE, OR FINANCIAL ASSISTANCE UNDER OUR CHARITY CARE POLICY. IF IT WAS DETERMINED THAT THE PATIENT WAS ELIGIBLE FOR CHARITY CARE, OR FINANCIAL ASSISTANCE, THE ACCOUNT WAS ADJUSTED TO CHARITY, AND WAS NOT PURSUED WITH A COLLECTION AGENCY. IF A PATIENT APPEALLED THE DETERMINATION, THE ACCOUNT WAS NOT REFERRED TO A COLLECTION AGENCY UNTIL A FINAL DETERMINATION HAD BEEN MADE WITH RESPECT TO THE APPEAL. PATIENTS STILL HAD THE OPPORTUNITY TO APPLY FOR A DISCOUNT UNDER THE CHARITY CARE POLICY EVEN AFTER THE ACCOUNT HAD BEEN SENT TO A COLLECTION AGENCY. PART VI, LINE 2 NEEDS ASSESSMENT Vassar brothers Medical Center participated in community needs assessments and community health improvement plans with the Dutchess County Department of Health. Vassar Brothers Medical Center was part of the Integrated Community Assessment Workgroup. The Integrated Community Assessment Workgroup (ICA) was established in 2008 by the Integrated Community Planning Workgroup (ICP) to implement a countywide integrated assessment. Its goal is to examine the local health and human services system including all aspects of the local environment - i.e. physical, legal, social, economic, and health. The assessment was achieved by conducting a survey reaching out to a representative sample of Dutchess County residents. The ICP consists of health and human services public agency representatives, and the ICA consists of a smaller group of individuals from the lead agencies - Dutchess County Department of Health, Dutchess County Community and Family Services, Dutchess County Department of Mental Hygiene, Dutchess County Department of Probation, Dutchess County Department of Planning & Development; Dutchess County Office for Aging, Dutchess County Veterans Services; as well as the Mental Health Association, the Dyson Foundation, the Foundation for Community Health, Health Quest, and Mid-Hudson Regional Medical Center (formerly Saint Francis Hospital). The ICP has been building upon other community assessment data, including the Many Voices One Valley Report, a project of the Dyson Foundation and the Marist College Institute for Public Opinion to examine residents' priorities for the Mid-Hudson Region (http://www.manyvoicesonevalley.org/). Several independent assessments have been conducted over the years, notably: o An annual countywide data document capturing available economic, educational and health data that impact children, youth, families and adults o A community health assessment report issued every three years for selected indicators In 2009, the County issued its first systematic and integrated assessment, accomplished via survey administration to a representative sample of Dutchess County residents. The results of the 2009 integrated assessment have fed the strategic planning process of each department involved, as well as the ICP. It also ensures that the Health and Human Services planning process is responsive to community strengths and needs and results in a plan that can be implemented successfully, where clear indicators can be tracked and benchmarked. In 2012, members of the ICA reviewed the questions from the 2009 survey. While some questions were discarded and/or added, care was taken to insure that survey results would be compatible with the 2009 results for trending purposes. Once the survey questions were finalized, the group issued an RFP and retained a firm to conduct the survey. The firm made 11,227 calls between November 31, 2012 and January 18, 2013. They achieved a 10% response rate, including both land lines and cell phones. The raw data was submitted to the Dutchess Department of Health, where it was analyzed and compiled by their epidemiologist. On September 17, 2013, the Dutchess County Department of Health hosted a county-wide Community Health Improvement Plan Design Forum. The purpose of the forum was to review the results of the recent survey and develop a locally relevant, comprehensive action plan to improve the health and lives of the residents of Dutchess County. Representatives from various agencies attended, including staff, management and physician representation from Health Quest, VBMC and NDH. As a result of the survey and subsequent analysis, Dutchess County identified the following four priority areas: 1. Reduce Childhood and Adult Obesity 2. Increase Access to Preventative Healthcare and Improve Management of Chronic Disease 3. Reduce Tick and Insect-related Diseases 4. Reduce Substance Abuse While insect-related disease does not appear to fit into any of New York State's Preventive Agenda categories, it was by far the biggest health concern for Dutchess County residents who responded to the survey. We have, in order to be consistent with the Prevention Agenda structure, considered it to be in the Safe and Healthy Environment category. Vassar Brothers Medical Center: Three Year Plan of Action 1. Increase Access to Preventive Healthcare and Improve Management of Chronic Disease: Rates of hospitalization for diabetes have remained steady over the past five years and are similar to NYS on average. However, non-Hispanic Blacks are over twice as likely to become hospitalized and to die from diabetes as Non-Hispanic Whites. Priority Area: Prevent Chronic Diseases Goal: Promote Use of Evidence-based Care to Manage Chronic Diseases Reduce the overall rate of hospitalization for diabetes complications by 10%. Disparity: Reduce the overall rate of hospitalization for Black Non-Hispanics by 15% Performance Measures Objective 1: Increase the number of newly-diagnosed diabetics who are appropriately managing their disease Indicators are listed below followed by the source used to track effectiveness. 10 patients who have been diagnosed with diabetes within each year will have attended classes on diabetes management. Patient self report at time of program Objective 2: Provide community education on prevention, recognition and management of diabetes Indicators are listed below, followed by, the source for tracking effectiveness of the program. 10 patients per year who have attended a Diabetes Prevention Program (CDC) will complete at least 9 out of the 16 sessions. Attendance during the program sessions 10 patients per year will have attended at least 3 of the 6 sessions of the Living with Diabetes Series. Attendance during the program sessions Action Plan Objective 1 Listed below is the activity, followed by target date and partners for each program. Hire or train at least one Certified Diabetes Educator 06/31/2014 Hudson River Health Care (HRHC), American Association of Diabetes Educators (AADE) Enhance Staff Skills through additional training 11/31/2013 Putnam Hospital Center, HRHC Conduct 3 six-week AADE self-management classes in year one 12/31/2014 AADE, HRHC Conduct 3 six-week AADE self-management classes in year two 12/31/2015 AADE, HRHC Conduct 3 six-week AADE self-management classes in year three 12/31/2016 AADE, HRHC Develop protocols to fast-track newly diagnosed diabetics into class 3/31/2014 HRHC, Health Quest Medical Practice, Community Primary Care Physicians Develop protocol to refer patients for intensive care management for patients with poorly controlled diabetes, including any patient hospitalized. 3/31/2014 HRHC, Health Quest Medical Practice, Community Primary Care Physicians Utilize outreach materials and outreach methods to target high-risk communities with the CDC Diabetes prevention program. Work with HRHCare's team of "Community Health Workers" to outreach into this community (African American and Hispanic). 1/31/2014 HRHC; Health Quest Medical Practice, Community Primary Care Physicians Objective 2 Listed below are the activities, target dates and partners for each program. Hold at least one Community Education Day in year one with at least 50 attendees. 12/31/2014 Dutchess County Department of Health (DCDOH), St. Francis Hospital, Institute for Family Health, HRHC Hold at least one Community Education Day in year two with at least 50 attendees 12/31/2015 DCDOH, St. Francis Hospital, Institute for Family Health, HRHC Hold at least one Community Education Day in year three with at least 50 attendees 12/31/2016 DCDOH, St. Francis Hospital, Institute for Family Health, HRHC Other outreach opportunities as identified Ongoing Any/all 2. Lyme and Other Insect-Borne Diseases: Dutchess County residents have significantly higher rates of tick-borne diseases than NYS residents overall. In both the 2009 and 2012 Dutchess Community Surveys, Lyme disease and other insect-related diseases were identified by two thirds of respondents as the top environmental concern. 2011 Tick-borne Illness Rates per 100,000 Population Disease Dutchess County NYS Lyme disease 147.9 64.9 Anaplasmosis 23.9 2.8 Erlichiosis 0.7 0.4 Babesiosis 17.8 3.2 Source: DCDOH, NYSDOH Priority Area: Promote a Safe and Healthy Environment Goal: Promote Use of Evidence-based Care to Manage Insect-borne Disease Increase percentage of Dutchess County providers utilizing best practice treatments for tick attachments by 10% Performance Measures Objective 1: Increase provider education and treatment consistency of tick bites and illnesses through promotion of CDC guidance Listed below are the activities, target dates and partners for each program. Number of physicians following CDC guidelines will increase by 10% over baseline Annual survey Number of physicians administering SDDT for every tick attachment will increase by 10% over baseline Annual survey Action Plan Objective 1 Listed below are the activities, target dates and partners for PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE We have a Health Quest wide financial assistance policies and procedures that has been in place at each hospital. The HQ Financial Assistance policy/worksheet is displayed on the back of each patient statement, there are financial assistance posters hanging within the registration areas, and the HQ Financial Assistance policy is displayed on the HQ website. In addition, the financial counselors, at each hospital, attempt to contact each self-pay patient to screen the patient for Financial Assistance and make the patient aware of their options. The folder given to each patient in the ED contains literature about the financial assistance policy. Our customer service reps are all educated on the Financial Assistance policy and explain this to the patients if they ask. PART VI, LINE 4 COMMUNITY INFORMATION Vassar Brothers Medical Center's primary service area includes the southernmost half of Dutchess County, up to and including the town of Hyde Park, as well as the easternmost parts of Orange and Ulster counties. Like many communities in New York State, the VBMC service area is experiencing minimal growth with gradual declines in the numbers of young families and children. Significant growth is expected in the volume of residents aged 65 and older. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH VBMC is a 365-bed community hospital. Its board of trustees is composed of prominent citizens who live and work in the community. Medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of the facility. The hospital has 546 doctors on its active staff and 23 doctors on its courtesy staff. It also owns a medical office building on its premises, as well as an additional medical office building off campus with space for doctors. Any member of its active medical staff has the privilege of leasing available office space. Rent is derived from a fair market value analysis provided by an independent party. The hospital operates a 24 hour emergency room where no one requiring medical attention is denied care. Any income over expenses is reinvested into the hospital, its staff and the community. VBMC realizes this is necessary to achieve and maintain high quality standards, keep up with the rapid advancement in technology, provide start-up capital for new programs, and expand existing facilities and programs in order to provide quality care to the community. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM Health Quest is a nonprofit organization dedicated to the wellbeing of the communities it serves. Health Quest was formed through an affiliation of three local hospitals: Northern Dutchess Hospital (Rhinebeck, NY), Putnam Hospital Center (Carmel, NY) and Vassar Brothers Medical Center (Poughkeepsie, NY). In addition to the hospitals and their foundations, Health Quest also counts among its many partners long-term care facilities, a free-standing radiation oncology center, a cardiology center, urgent care centers, a multi-specialty medical practice, a skilled nursing facility, and a home care service. Together, they provide the healthcare needs of the entire region. Health Quest hospitals meet on a regular basis with community agencies and stakeholders. Each hospital has a board comprised of staff and community members who oversee the Community Health Needs Committee. Each committee oversees the development of community health needs assessments and health improvement plans. Health Quest employees serve as leaders in the promotion of community health. Many regularly venture into the community to provide both educational lectures and health screenings to encourage preventative medicine. Throughout the year, Health Quest actively sponsors a number of health-related fundraisers for other nonprofit organizations, including regional chapters of the American Heart Association, American Cancer Society and Alzheimer's Association. Employees are also active members of their communities volunteering and serving on the local boards of various agencies, in addition to performing public benefit outreach initiatives on behalf of Health Quest. In 2014, Health Quest also launched a fitness challenge partnering with the Walkway Over the Hudson to offer the public the Get Fit initiative in both the spring and fall. The program urged residents to walk, bike and/or run for at least 30 minutes as many times as possible on the Walkway during the six-week challenge. Health Quest also partners with physicians who are on the medical staff at the three hospitals to offer public lecture series in the spring and fall. The seminars engage participants on a variety of medical topics from prevention to the latest treatment options and to learn from leading doctors in their field. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT - NEW YORK true AMERICAN HEART ASSOCIATION 301 MANCHESTER ROAD POUGHKEEPSIE NY 12603 135613797 501(c)3 33000 RESEARCH AND DEVELOPMENT OF CARDIAC PROGRAMS O FESTIVAL PO BOX 3083 KINGSTON NY 12402 900882142 501(c)3 9900 SUPPORTS MEDICAL SERVICES FOR PEOPLE WITHOUT INSURANCE WOMEN'S HEALTH & FITNESS FOUNDATION 360 WASHINGTON AVENUE KINGSTON NY 12401 900193745 501(c)3 5610 EDUCATION ON FITNESS AND NUTRITION MILES FOR HOPE BREAST CENTER FOUNDATION PO BOX 405 LAGRANGEVILLE NY 12540 134281796 501(c)3 5610 SUPPORT BREAST CANCER RESEARCH AND PROGRAM DEVELOPMENT WALKWAY OVER THE HUDSON 82 WASHINGTON STREET POUGHKEEPSIE NY 12601 141753502 501(c)3 14520 SUPPORT WALKWAY FOR COMMUNITY 5 PART I LINE 2 Sponsorship Policy: Y Criteria for Sponsoring a Community Organization: Health Quest (HQ) recognizes the value and benefits of sponsoring other community organizations throughout the year. The following section outlines the criteria for when it is appropriate to do so: Marketing Opportunity - Health Quest will sponsor community events when the benefits provided to our organization allow for a significant amount of marketing, name recognition and general publicity. The desired amount of marketing for HQ will determine the sponsorship level chosen. Relative to Healthcare - Health Quest will sponsor organizations and their events that directly relate to our mission as a healthcare system. HQ Executive is a member of the Organization's Board - Health Quest will sponsor community events when our Executives serve on the organization's board and feel it is of value to provide support to them. The Honoree of the Event is Linked to HQ - Health Quest will sponsor community events when the honoree(s) of the event are directly related to Health Quest (ie: one of our employees, board members, etc.) X X true true true true false false false false false false false DANIEL ARONZON MD FORMER CEO/PRESIDENT 0 0 0 0 0 193562 0 0 0 0 0 193562 0 0 JANET READY FORMER PRESIDENT 0 142002 0 52619 0 289527 0 14576 0 26830 0 525554 0 15300 KEVIN BOLAND DIRECTOR CARDIO PERFUSION 242579 0 8877 0 0 0 15142 0 24699 0 291297 0 15166 0 KATHLEEN MANTARO DIR UTILIZATION MGMT 232115 0 16015 0 6088 0 15337 0 8446 0 278001 0 15300 0 MICHAEL T WEBER FORMER CEO 0 0 0 0 0 817449 0 0 0 0 0 817449 0 15300 MARYANN KEPPLE FORMER TREASURER 0 124022 0 225000 0 430199 0 15600 0 1476 0 796297 0 15300 FREDERICK THOMAS FORMER CORPORATE SECRETARY 0 0 0 0 0 104511 0 0 0 0 0 104511 0 6271 DOUGLAS HART PERFUSIONIST 198757 0 0 0 654 0 11925 0 23837 0 235173 0 11647 0 SUSAN AMOS AVP OF MATERNAL CHILD HEALTH 118664 0 11550 0 63358 0 9416 0 22364 0 225352 0 11099 0 JOHN L MCGUINNESS HQ CEO 0 1206923 0 0 0 215532 0 0 0 19503 0 1441958 0 0 ROBERT FRIEDBERG VBMC PRESIDENT 0 588461 0 100000 0 98175 0 0 0 26885 0 813521 0 0 KATHERINE BACHER ASST. TREASURER 0 281113 0 12893 0 496 0 15600 0 1323 0 311425 0 0 CLAUDINE FASSE AVP OPERATIONS/PROJ MGMT 189808 0 0 0 101932 0 0 0 893 0 292633 0 0 0 ANN MCMACKIN VBMC COO 302573 0 0 0 0 0 0 0 0 0 302573 0 0 0 SCH J, PART I, LINE 4A AND 4B COMPENSATION IN 2014, HQ UNDERWENT A MAJOR EXECUTIVE MANAGEMENT RESTRUCTURING. INCLUDED IN THE WAGES LISTED ON SCHEDULE J FOR FORMER EMPLOYEES ARE RETENTION BONUSES, SEVERANCE PAYMENTS (LISTED IN DETAIL BELOW) AND TAX DEFERRED DISTRIBUTIONS. LINE 4A - SEVERANCE PAYMENTS WERE PAID FROM A RELATED ORGANIZATION FOR FIVE OFFICERS AND TWO HIGHEST COMPENSATED EMPLOYEES DANIEL ARONZON, MD (PRESIDENT) - 2 YEARS + 1 MONTH, EFFECTIVE TERM DATE 1/1/2012 - $59,938, PAID IN 2014 MICHAEL T. WEBER (HQ CEO)- 24 MONTHS, EFFECTIVE TERM DATE 3/11/2013 - $817,449, PAID IN 2014 FREDERICK THOMAS (CORP SECRETARY)- 12 MONTHS, EFFECTIVE TERM DATE 6/30/2013 - $104,511, PAID IN 2014 MARYANN KEPPLE - 12 MONTHS, EFFECTIVE TERM DATE 3/6/14 - $385,909, PAID IN 2014 JANET READY - 12 MONTHS, EFFECTIVE TERM DATE 4/30/14 - $290,287, PAID IN 2014 KATHLEEN MANTARO - 12 MONTHS, EFFECTIVE TERM DATE 9/7/14 - $7,479, PAID IN 2014 SUSAN AMOS - 12 WEEKS, EFFECTIVE TERM DATE 8/25/14 - $66,790 LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN - The Section 457(f) Plan is a non-qualified, tax-sheltered opportunity to defer income and accumulate additional income and accumulate income for intermediate or long-term savings goals above the legislative limits imposed on the qualified pension plans. Under the 457(f) employer contribution plan, eligible employees have the option of electing to receive their employer contribution as taxable income or to defer the contribution. There is a 6% employer contribution along with a possible remaining amount that would depend upon whether the 6% 403(b) employer contribution caps out ($15,600 in 2014, subject to increases). Elections for both the 457(f) employee contribution or the 457(f) employer contribution are made in the tax year prior to the year of deferral. SCH J, PART I, LINE 3 VBMC RELIED ON HEALTH QUEST SYSTEMS, A RELATED TAX EXEMPT ORGANIZATION, WHICH USED AN EXECUTIVE COMPENSATION COMMITTEE, AND AN INDEPENDENT THIRD PARTY TO GATHER COMPARABLE DATA TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO, TOP MANANGEMENT AND OTHER KEY EMPLOYEES. SCH J, PART I, LINE 1A LINE 1A TRAVEL FOR COMPANIONS AS PART OF RELOCATION EXPENSES FOR TWO EXECUTIVES, HQ PAID FOR THEIR SPOUSE TO RELOCATE. LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS HQ GROSSED UP EARNINGS FOR ONE EXECUTIVE FOR EXPENSES INCURRED FOR TRAVEL ASSOCIATED WITH RELOCATION. THE VALUE OF THE TRAVEL AND GROSS UP WERE TREATED AS TAXABLE INCOME ON THEIR FORM W-2. A DORMITORY AUTHORITY 146000293 649903UK5 2007-09-06 18093913 SEE PART VI false false false B DUTCHESS COUNTY LOCAL DEV CORP 273106797 267045AQ5 2010-12-15 34762345 SEE PART VI false false false C DUTCHESS COUNTY INDUSTRIAL DEV AGENCY 141613685 267041HG9 2011-01-21 17111463 REFUND PRIOR BOND (6/28/2005) false false false A 3181642 0 19531047 1350695 367816 0 249119 285086 0 3120619 13841800 315912 2008 false true false true B 4670000 0 34762447 0 0 0 597852 273299 0 22663695 11227602 0 2012 true false true true C 1390000 0 17111463 1313188 0 0 137044 0 0 0 16974419 0 2006 true false true true A false false false false 0 B false false false false 0 C false false false false 0 A false false false true false false 0 false 0 true true B false false true true false false 0 false 0 false true C false true true false false false 0 false 0 false true A false B false C false BOND ISSUES PART I, LINE A, COLUMN E - TOTAL ISSUE PRICE PER IRS FORM 8038 - $61,974,071.30 ALLOCATED BETWEEN THREE ORGANIZATIONS PART I, LINE A, COLUMN F - PURCHASE MEDICAL EQUIPMENT AND REFUND PRIOR ISSUE (4/13/2000) PART I, LINE B, COLUMN F - CONSTRUCTION OF FACILITY AND REFUND PRIOR ISSUE (1/22/2004) PROCEEDS PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS. PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 - 12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ARBITRAGE SCHEDULE K, PART IV, ARBITRAGE, LINE 2C (A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2011 (B) ISSUER NAME: DUTCHESS COUNTY LOCAL DEV CORP DATE THE REBATE COMPUTATION WAS PERFORMED: 11/30/2012 NOTE REGARDING THE REBATE COMPUTATION ON 11/30/2012: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. PREMIER MEDICAL GROUP SEE PART V 1729270 ON CALL & MED DIRECTORSHIP FEE false SCH L, PART IV, LINE 1, COLUMN B BOARD MEMBER SUNIL KHURANA IS THE CEO OF PREMIER MEDICAL GROUP. FORM 990 PART III LINE 1 - COMMUNITY BENEFIT PLAN-MISSION STATEMENT The mission of Vassar Brothers Medical Center is to be the preeminent provider of health care in the Hudson Valley. Vassar Brothers Medical Center will strive to provide the highest quality health care services to anyone who needs our care and to continually seek to improve our services. Vassar Brothers Medical Center will expand and develop primary and tertiary services based on the needs of our community with a focus on Cardiology, Oncology, Women and Children and Surgical Services. Planning and program development will be systematic, will utilize a multi-disciplinary approach and rely on evidence-based medicine. Financial security is a fundamental requisite to the longer term viability of the Hospital. The organization must have sufficient financial resources to achieve and maintain high quality standards, replace assets, keep pace with technological advances, provide start-up capital for new programs, expand existing programs and underwrite bad debt and charity care. Fulfillment of this vision statement is dependent on the continuous improvement in the quality of services provided to patients, physicians and the community based on bringing innovative medical and information technology and continuing medical education to enhance patient care and safety. To that end, Vassar Brothers Medical Center will seek to accomplish the following goals: To attract and retain the highest quality employees, physicians, trustees and volunteers; and to maintain an environment that encourages, supports and rewards safety and excellence in all its various forms. Finally, as a voluntary and charitable organization that serves a vital public need, the Hospital continually strives to maintain the trust, confidence and respect of the people we serve. FORM 990 PART VI SECTION A LINE 6, 7A AND 7B - GOVERNING BODY LINE 6 - THE SOLE MEMBER OF VBMC IS HEALTH QUEST SYSTEMS, INC. LINE 7A - APPOINTMENT/ELECTION OF GOVERNING BODY 6.01 Officers. The Officers of VBMC shall be a Chair, First Vice-Chair, Second Vice-Chair, Secretary/Treasurer, and President/Chief Operating Officer. From time to time, the Board of Trustees may appoint such other Officers with powers and duties not inconsistent with these Bylaws. Any two or more offices may be held by the same person, except the offices of Chair, President/Chief Operating Officer and Secretary/Treasurer. 6.02 Election. The Chair of the Board, First Vice-Chair, Second Vice-Chair and the President/Chief Operating Officer shall be elected by Health Quest. The Secretary/Treasurer and other Officers shall be elected by a vote of the majority of the entire Board of Trustees at a meeting of the Board of Trustees. All Officers shall serve for a term of two (2) years until successors are elected and qualified, such term commencing at the close of the meeting at which they are elected. Officers may be elected for no more than one (1) term. 6.03 Vacancies. A vacancy occurring in any office during the year may be filled by a vote of a majority of the entire Board of Trustees for the remainder of the term thereof at the next Annual Meeting or any regular meeting of the Board or at a special meeting called for such purpose, provided that a vacancy in the office of Chair of the Board, First Vice-Chair, Second Vice-Chair or President/Chief Operating Officer may be filled only by Health Quest. 6.04 Removal. Any Officer may be removed from office, with or without cause, by an affirmative vote of two-thirds (2/3) of the entire Board of Trustees at any meeting of the Board, except the Chair of the Board, First Vice-Chair, Second Vice-Chair and the President/Chief Operating Officer may be removed only by Health Quest. 6.05 Duties and Responsibilities. (a) Chair. The Chair shall preside at all meetings of the Board of Trustees. In accordance with Articles VII and VIII, the Chair also shall (i) appoint the Committee Chairs and members of all Committees of the Board (except the Executive Committee) and ad hoc committees, (ii) serve as an ex-officio member, with vote, on each Committee, and (iii) serve as the Chair of the Executive Committee. The Chair shall perform such other duties as may be provided for by law, these Bylaws, or resolution of the Board of Trustees. (b) First Vice-Chair. In the absence of the Chair, the First Vice-Chair shall preside at meetings of the Board of Trustees. When so acting as Chair, the First Vice-Chair shall have all the powers and authority of the Chair. The First Vice-Chair shall perform such other duties as may be provided for by the Board of Trustees. (c) Second Vice-Chair. In the absence of the Chair and First Vice-Chair, the Second Vice-Chair shall preside at meetings of the Board of Trustees. When so acting as Chair, the Second Vice-Chair shall have all the powers and authority of the Chair. The Second Vice-Chair shall perform such other duties as may be provided for by the Board of Trustees. (d) Secretary/Treasurer. (i) The Secretary/Treasurer shall be responsible for such books, documents, and papers as the Board may determine. The Secretary/Treasurer shall cause minutes to be kept for all meetings of the Board of Trustees, may sign any contracts or agreements with the Chair, the President/Chief Operating Officer, the First Vice-Chair or Second Vice-Chair in the name of VBMC if so authorized or ordered by the Board, and may affix the seal of VBMC to written instruments when so authorized or ordered by the Board. The Secretary/Treasurer shall perform such other duties as shall be assigned by the Board of Trustees and as are incidental to the office of secretary of a not-for-profit corporation. (ii) The Secretary/Treasurer shall either personally perform, or ensure that appropriate employees of VBMC perform, the following functions: receive and care for all monies and properties belonging to VBMC and dispose of the same under the direction of the Board of Trustees, receive and give receipts for all amounts due to VBMC, endorse checks in its name and on its behalf, receive full discharge for the same in accordance with these Bylaws, and perform such other duties as assigned by the Board of Trustees and as are incidental to the office of treasurer of a not-for-profit corporation. (e) President/Chief Operating Officer. The President/Chief Operating Officer shall serve as the chief executive officer of VBMC and shall have the authority and responsibility to manage and operate VBMC in all its activities, subject to these Bylaws, the Certificate of Incorporation, and such policies as may be adopted from time to time by the Board of Trustees or Health Quest. The President/Chief Operating Officer's responsibilities shall include, but are not limited to, the following: (i) Acting under the direction of and being accountable to the Board of Trustees of VBMC and Health Quest; (ii) Providing effective liaison between the Board of Trustees and management; (iii) Appointing (either personally or through delegation to responsible subordinates), and VBMC shall employ, such personnel as may be required to conduct the affairs of VBMC; (iv) Ensuring that all activities are properly organized, directed and accounted for as established by the Board of Trustees; (v) Providing reports to the Board of Trustees to keep the Board fully informed of the affairs of VBMC; (vi) Performing all duties required by law; and (vii) Unless otherwise provided for herein, performing (either personally or through delegation to responsible subordinates) all acts and executing all documents necessary to carry out the duties of the position of President/Chief Executive Officer. LINE 7B - 4.01 Powers of the Board of Trustees. The business and property of VBMC shall be managed by VBMC's Board of Trustees and Health Quest, as the co-established operator of VBMC. Although Health Quest may elect from time to time to delegate to and/or act jointly with the VBMC Board of Trustees, Health Quest has the authority to exercise independently its established powers and rights in its capacity as the co-established operator. Any such delegated authority shall at all times remain subject to the oversight, modification or repeal of Health Quest as the co-established operator of VBMC. Without limiting the foregoing powers, Health Quest shall consult with the Chair of the VBMC Board of Trustees before modifying or repealing any joint operating authority delegated under Section 4.02. 4.02 Joint Operating Authority Delegated to VBMC. Subject to Sections 2.02 and 4.01, the Board of Trustees of VBMC shall have the following operating authority as delegated by Health Quest: (a) Quality Assurance. Apply and execute the quality assurance standards and any quality assurance policies and plans adopted by Health Quest. (b) Medical Staff Credentialing and Bylaws. Apply and execute the Medical Staff credentialing standards and any policies adopted by Health Quest, which includes being responsible for: (i) Appointing the members of the Medical Staff; (ii) Approving any Medical Staff appointments such as Medical Staff officers or department chairs requiring Board approval; (iii) Pursuant to the procedures set forth in the Bylaws of the Medical Staff, dismissing any member of the Medical Staff, and approving, rejecting or modifying any corrective action taken or recommended by the Medical Staff for any member of the Medical Staff; and (iv) Approving the Medical Staff Bylaws, Rules and Regulations. (c) Strategic Planning. Provide input to the system-wide strategic planning process and VBMC-specific strategic plan, as requested and approved by Health Quest, and monitor the implementation of such plan. (d) Statements of Deficiency and Legal Compliance. Respond to any statements of deficiency issued by any regulatory or accrediting authority and take all appropriate and necessary action to monitor and restore compliance with deficiencies in VBMC's compliance with statutory, regulatory or accreditation requirements, including but not limited to monitoring the submission and implementation of all plans of correction. (e) Conflicts of Interest. Implement and comply with the written Conflict of Interest Policy as approved by Health Quest and as interpreted and directed by the Compliance and Audit Committee of Health Quest. (f) Community Health Needs. Implement the statement of mission approved by Health Quest by developing a Community Service Plan tailored specifically to the work of VBMC in the community it serves and monitoring performance thereof. (g) Budgets and Financial Performance. Assist in developing and monitoring the budgets for VBMC, as requested by Health Quest and, as approved, monitor the financial performance of VBMC. (h) Physician Arrangements. Review and approve physician financial arrangements in accordance with and as permitted by a system-wide policy FORM 990 PART VI SECTION B LINE 11B - POLICIES 1 LINE 11 B - PRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 WAS REVIEWED BY INTERNAL MANAGEMENT. AFTER THAT REVIEW WAS COMPLETE, THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS OF HQ (PARENT OF THE FILING ORGANIZATION) FOR ADDITIONAL REVIEW AND COMMENT. CONTACT INFORMATION WAS PROVIDED SHOULD QUESTIONS ARISE. A 3RD PARTY WAS HIRED TO ASSIST IN THE PREPARATION OF SCHEDULE K. PRICEWATERHOUSE COOPERS WAS CONSULTED IN THE PREPARATION OF SCHEDULE H. FORM 990 PART VI SECTION B LINE 12C, 15A AND 15B - POLICIES LINE 12C - ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE HEALTH QUEST BUSINESS ETHICS COMMITTEE ON BEHALF OF VBMC. IN ADDITION, CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY BOARD MEMBERS AND KEY EMPLOYEES ON AN ANNUAL BASIS AND REVIEWED BY THE HEALTH QUEST CORPORATE COMPLIANCE DEPARTMENT. LINE 15A/15B - COMPENSATION FOR THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HEALTH QUEST EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND RECOMMENDATIONS OF AN INDEPENDENT THIRD PARTY. COMMITTEE BASED ON INFORMATION AND SUPPORT OF AN INDEPENDENT THIRD PARTY. FORM 990 PART VI SECTION C LINE 19 - DISCLOSURE POLICIES AND FINANCIAL STATEMENTS FOR VBMC ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS. SCHEDULE R PART II - RELATED TAX EXEMPT ORGANIZATIONS Entity Tax ID# Primary Activity Legal Domicile Exempt Code Status Public Charity Status Direct controlling Entity Vassar Brothers Medical Center 14-1338586 Hospital NY 501c3 Box 3 HQ The Foundation for Vassar Brothers Medical Center 14-1736429 Fundraising NY 501c3 Box 11 HQ Riverside Diversified Services, Inc (Parent) 14-1675545 Education NY 501c3 Box 11 HQ Alamo Ambulance Service, Inc 14-1745417 Transport NY 501c3 Box 11 HQ Health Quest Home Care, Inc (Certified) 14-1788412 Home Health NY 501c3 Box 11 HQ Health Quest Home Care, Inc (Licensed) 14-1788410 Home Health NY 501c3 Box 11 HQ Northern Duchess Hospital 14-1338467 Hospital NY 501c3 Box 3 HQ Northern Dutchess Residential Health Care Facility 22-3129608 Nursing Home NY 501c3 Box 11 HQ NDH Foundation 14-1776208 Fundraising NY 501c3 Box 11 HQ Putnam Hospital Center 14-6019179 Hospital NY 501c3 Box 3 HQ Putnam Hospital Center Foundation 06-1399319 Fundraising NY 501c3 Box 11 HQ Health Quest Medical Practice, PC 56-2669185 Medical Care NY 501c3 Box 3 HQ Health Quest Urgent Medical Practice, PC 80-0152047 Urgent Care NY 501c3 Box 3 HQ Health Serve Information Technologies, LLC 14-1797086 IT Support NY 501c3 Box 3 HQ Health Quest Laboratory Support Services, LLC 45-4370644 Medical Laboratory NY 501c3 Box 3 HQ One Columbia Street, LLC 46-1626016 Real Estate Mgmt NY 501c3 Box 3 HQ Hudson Valley Cardiovasular Practice, PC 46-3756713 Medical Care NY 501c3 Box 3 HQ VBMC Nursing VEBA Health Savings Trust 27-4847846 VEBA Trust NY 501c9 Box HQ SCHEDULE K PART 1 LINE A COLUMN E - TOTAL ISSUE PRICE PER IRS FORM 8038 $61,974,071.30 ALLOCATED AS FOLLOWS - VASSAR BROTHERS MEDICAL CENTER - $18,093,912.82 PUTNAM HOSPITAL CENTER - $28,161,750.86 NORTHERN DUTCHESS HOSPITAL - $15,718,407.82 SCH R PART V LINE 2 (2) AND (3) - ALLOCATION METHODOLOGY FOR HQ AND HQ LAB Health Quest Systems, Inc Allocation of Support Services/Shared Expenses/Cash Funding General: The following services are considered shared services for Health Quest affiliates and the cost to provide these services are allocated to each entity which benefits from the service based on a pre defined allocation methodology: 1. Specialty Staffing a. VBMC Surgical b. Radiology c. Oncology d. VBMC Sleep Lab e. PT/OT/ST f. Cardiac Rehab 2. Clinical Management a. Emergency Room b. Pharmacy c. Cardiac d. Oncology 3. Revenue Cycle including health information management, budgets and reimbursement, revenue cycle, system business office, patient access oversight, financial clearance center, managed care and decision support 4. Facilities including courier service, construction, property management, facility operations, food service management and security 5. Business Development including strategic planning, marketing and public relations, answering service and community education 6. Corporate Finance including accounts payable, payroll, general accounting, purchasing, supply chain and mailroom, practice management billing and management engineering 7. Internal Audit and Compliance 8. Practice management operations including physician recruitment, physician management and centralized scheduling 9. Human Resources and learning and development 10. Administrative including Executive office, Hospital Support and risk management 11. Legal Counsel 12. Information Technology and Medical Technology Services (MTS) Description of Services: 1. Specialty staffing a. Provides non union staffing services for various specialties to the hospitals, offsite ancillary locations and the Fishkill Medical Mall 2. Clinical management includes management oversight to system consolidated clinical services 3. Revenue Cycle - a. Health Information Management functions includes coding and transcription of medical records for all 3 hospitals b. Budget functions include preparation of annual budgets, variance reporting and maintenance of the budget module Reimbursement functions include preparation of annual cost reports, analysis of third party rate accounts and third party audits c. Revenue cycle functions include charge master analysis and development of revenue producing charges, compliance with CPT coding and establishment of appropriate charges d. System business office services includes producing claims for third party payers and private pay patients, payment processing, periodic reporting, accounts receivable analysis, charity care application process, denial management, collection and follow up for the hospitals. Patient access and financial clearance center includes oversight of all centralized registration areas at the hospitals and pre-authorization for numerous hospital services to insure compliance with third party regulations e. Managed Care functions include contract negotiations and analysis of contract terms f. Decision Support functions include cost accounting reporting, maintenance of HBI (Horizon Business Insight) reporting and the contract management system 4. Facilities - a. Courier service provides delivery services internally throughout the HQ system and bank deposit drop offs b. Construction and property management functions include contracting services for Health Quest projects and property management of all HQ facilities c. Facility operations include management oversight of the engineering departments for the hospitals d. Food Service management includes management oversight of food and nutrition departments for the hospitals e. Security functions include management oversight of all facilities to ensure the safest environment 5. Business Development - a. Strategic Planning functions include CON submissions, market data analysis and assistance with business plans b. Marketing includes advertising services, coordination of joint Health Quest advertisements and reduction of expenses associated with larger campaigns c. Public relations functions include coordination of Health Quest communication to external customers, patients and media d. Oversight of the outsourced answering services for physicians affiliated with the hospitals and HQMP e. Community education functions include training classes specific to life saving techniques 6. Finance - a. Accounts payable functions include scheduling vendor payments, insuring flow of goods and services, maintaining days cash on hand goals and maintaining days in accounts payable b. Payroll functions include biweekly employee payments and tax filings in accordance with Human Resources and Payroll policies c. General Accounting functions include preparation of financial statements, account analysis, contract reconciliation, tax filings, investment coordination, insurance coordination and coordination of internal and external audit functions d. Purchasing, supply chain and mailroom functions include procurement services, contract negotiations, price negotiations, capital purchase negotiations, management/distribution of hospital inventory, and central mailroom management e. Practice management billing functions include producing all claims for third party payers and private pay patients, payment processing, periodic reporting, accounts receivable analysis, charity care application process, denial management, collection and follow up services for all employed HQ physicians f. Management Engineering functions include evaluating each area within HQ to ensure compliance with various productivity benchmarks optimizing staffing ratios 7. Internal Audit and Compliance includes oversight of the corporate compliance program, internal audit, HIPAA compliance, contract review and compliance 8. Human Resource and learning and development functions include recruitment, compensation, benefit administration and employee training 9. Physician management operations functions include oversight of all HQ physician practices, physician recruitment functions, and the centralized scheduling office 10. Administrative functions include oversight of the Health Quest system, hospital management and risk management 11. Legal Counsel functions include internal legal services for HQ and coordination of all outsourced legal initiatives 12. Information Technology and MTS - a. IT provides information technology support for all applications and telephony support within HQ. In addition provides project management services for all new and upgrades to current IT applications. b. MTS/Biomed includes technical services provided to each hospital for equipment repair and maintenance Shared Expenses: In addition to services provided by support departments, certain insurance policies are consolidated for all Health Quest entities. These include property insurance, travel, crime, environmental, cyber risk and Directors and Officers insurance. Affiliate Cash Shortfalls: Affiliate cash shortfalls are funded by the entity(s) benefiting from the affiliate services. Examples include Health Quest Medical Practice and the Thompson House. The cash shortfall funding is based on the percentage of benefit received (percentage of revenue by division for HQMP and patient census for the Thompson House from the hospitals) Allocation Methodology: Net Revenue - lab management, budgets, revenue cycle, managed care, decision support, all facilities (excluding construction), business development, general accounting, management engineering, internal audit and compliance, executive office, legal, information technology and MTS # of visits/procedures - staffing specialties Historical trends - health information management, clinical management and hospital support Cash collections - patient accounting and the financial clearance center # of FTE's - payroll and human resources Non payroll expenses - accounts payable and purchasing Project based - construction # of FTE's allocated to physician sites - Practice management billing, operations and physician practice management System Benefits: 1. Financial planning 2. Revenue enhancement 3. Improved cash collections 4. Enhanced managed care contract rates 5. Optimized medical records coding 6. Savings for supplies, contracts, insurance and capital purchases 7. Staffing reduction through shared services 8. Enhanced employee benefit programs Health Quest Laboratory Support Services, LLC provides clinical diagnostic services to affiliate hospitals. VBMC covers all costs for lab services performed at VBMC for both inpatient and outpatient services. FORM 990 PART XI LINE 9 - RECONCILIATION OF NET ASSETS ADDITIONAL PENSION LIABILITY - ($11,809,571); TRANSFER OF EQUITY - ($18,925,966); CHANGE IN INTEREST IN FOUNDATION - $0; NET ASSETS FROM RESTRICTIONS USED FOR OPERATIONS - ($1,080,547); PERM RESTRICTED MISC - ($3,971) FORM 990 PART XIII LINE 3A - OMB CIRCULAR 1-133 AUDIT VASSAR BROTHERS MEDICAL CENTER DID NOT RECEIVE MORE THAN $500,000 IN FEDERAL AWARDS IN 2014, AND DID NOT QUALIFY FOR AN A-133 AUDIT. HEALTHSERVE INFORMATION TECHNOLOGIES 45 READE PLACE POUGHKEEPSIE NY 12601 141797086 INFO TECH NY -16664 102783 VBMC ONE COLUMBIA STREET LLC ONE COLUMBIA STREET POUGHKEEPSIE NY 12601 461626016 REAL EST MGMT NY 207126 19992816 VBMC HEALTH QUEST SYSTEMS INC 45 READE PLACE POUGHKEEPSIE NY 12601 141678068 SUPPORT SERV NY 501(c)(3) BOX 9 HQ FACS LLC 45 READE PLACE POUGHKEEPSIE NY 12601 141831972 PHYSICIAN CON NY 2281 22406 true 0.16500 true false false false false false false false false false false false false false true false false HEALTH QUEST SYSTEMS INC A 657850 RENT AT COST HEALTH QUEST SYSTEMS INC P 73531102 SEE SCHEDULE O HEALTH QUEST LABORATORY SUPPORT SERVICES LLC P 14436207 SEE SCHEDULE O HEALTH QUEST MEDICAL PRACTICE PC A 925075 RENT AT COST ONE COLUMBIA STREET LLC A 210000 RENT AT COST